Emergency stationary complexes (flagship centers) — a new system for managing emergency and specialized medical care. Experience of the flagship center of the O.M. Filatov Hospital in Moscow

Introduction. In light of modern challenges, the demands on one of the most complex and labour — intensive areas of medicine — emergency care — are constantly growing. around the world emergency hospitals are faced with an increasing flow of patients, overcrowded departments, and a shortage of material and human resources. The purpose of the work was to study the current state of providing emergency and specialized medical care and to provide a preliminary assessment of the effectiveness of the medical care system reform through the example of the emergency hospital complex of the O.M. Filatov Municipal Clinical Hospital No. 15 of the Moscow Health Department. Materials and methods. The work used an analysis of domestic and foreign literature. There was studied the real experience of leading emergency centers (Germany, USA, Great Britain, etc.). Results. An analysis of the world experience of emergency centers showed the vast majority of hospitals, in general, to experience similar problems: a growing volume of patient admissions and, accordingly, a high workload of the hospital, high financial costs, a shortage of qualified personnel. For an objective analysis of the hospital load, it is necessary to take into account not only the number of hospitalizations, but also the ratio between the severity of cases, the capacity of the hospital departments and the hospital resources. Research limitations. The approach to providing medical care described in the article is new to Russian healthcare, and therefore it is not possible to conduct a comparative analysis with its use in other regions of the Russian Federation. Conclusion. Thus, emergency inpatient complexes allow providing to patients with varying degrees of the severity specialized medical care at a modern level, to carry out rapid and accurate diagnostics, improve patient routing, as a result of which material and time resources are saved and the quality and availability of medical care is increased.